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CompletedNCT04301154HVRRICANEUpdated Aug 11, 2025

Safety and Effects of Using Prime-boost HIVIS DNA and MVA-CMDR Vaccine Regimens With or Without Toll-like Receptor 4 Agonist on HIV Reservoirs in Perinatally HIV Infected Children and Youth

A Phase 1 interventional study of HIVIS DNA/MVA-CMDR and HIVIS DNA + Cervarix and MVA-CMDR in HIV Infections, sponsored by Henry M. Jackson Foundation for the Advancement of Military Medicine. Completed at 1 site in South Africa. Open to participants aged 9 Years and older. Per ClinicalTrials.gov, last updated 2025-08-11.

Sponsored by Henry M. Jackson Foundation for the Advancement of Military Medicine · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
9 Years and older
Sex
All
01

Study summary

Phase I, Proof of Concept, Open-Label, Randomized Clinical Trial to Evaluate the Safety and Effects of Using Prime-boost HIVIS DNA and MVA-CMDR Vaccine Regimens with or without Toll-like Receptor 4 Agonist on HIV Reservoirs in Perinatally HIV Infected Children and Youth

Read the detailed description

HIVIS DNA and MVA-CMDR vaccines induce immune responses important for clearing infected cells: broad HIV-specific CD8+ cytotoxic T cells, potent antibodydependent cellular cytotoxicity (ADCC), and binding antibody (Ab) and neutralizing antibody (NAb). The study include early treated children because of their healthy immunity and small HIV reservoirs. Giving licensed vaccine, Cervarix®, against human papilloma virus (HPV) that contains toll-like receptor (TLR) 4 agonist with HIVIS DNA could increase DNA antigen loading on dendritic cells and promote adaptive immune responses to the HIV vaccine.

02

Conditions studied

  • HIV Infections

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Keywords

  • HIV reservoir
  • Perinatally HIV Infected Children
  • Vaccine
03

In context

HIV Infections

4,258 studies on the registry are indexed under HIV Infections; 240 are open to participants now.

This study's enrollment of 25 is below the median of 83 across 3,251 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Henry M. Jackson Foundation for the Advancement of Military Medicine is the lead sponsor of 84 studies on the registry; 18 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
9 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. HIV perinatally infected
  2. Know their HIV+ status
  3. Initiated ART prior to 6 months of age
  4. Male and female ≥ 9 years old
  5. In generally good health
  6. Plasma viral load \< 200 copies/ml on ART at screening
  7. CD4 count above 400 cells/mm3 at screening
  8. Participants of childbearing potential who are sexually active must be willing to practice effective contraception during the study
  9. Negative urine β-HCG (human chorionic gonadotropin) pregnancy test for any female of childbearing age (post-menarche)
  10. Availability for follow-up for planned duration of the study
  11. Passing a test of understanding is required for participants ≥ 18 years old or the parent(s)/legal representative of participants \< 18 years old before consent.
  12. Written informed consent from participants ≥ 18 years old or parent(s)/legal representative of participants \< 18 years old. Assent by participants aged 9-17 years old will also be required.
  13. Laboratory criteria within 8 weeks prior to enrollment

    • Hb >11.0 g/dl
    • White blood cell count >3000 cells/mm3
    • Platelets >125,000/ mm3
    • ALT \<1.5 x upper limit of normal
    • Creatinine \<1.5 x upper limit of normal

Exclusion criteria

Exclusion criteria:

  1. Participants who experienced virological failure necessitating ART modifications
  2. Participants who had ART interruption that lasted >2 weeks
  3. Prior or current pancreatitis or history of alcohol abuse.
  4. Systemic cortisone treatment within the past 30 days
  5. Participants coinfected with chronic hepatitis B (Hepatitis B surface antigen, HBsAg+) or hepatitis C (Hepatitis C antibody, HCV Ab+) at screening
  6. Participants with signs of autoimmune diseases
  7. Participants with history of myocarditis
  8. Participants on any immune modulating or investigational drug
  9. Pregnant or breastfeeding female
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Arm 1 (n=10): HIVIS DNA / MVA-CMDR

    Arm 1 (n=10) will receive 1500 micrograms (0.5ml) HIVIS DNA IM by needle-free injection at weeks 0 and 4 followed by intramuscular (IM) needle injection of 1 X 108 IU/mL (1ml) MVA-CMDR at weeks 24 and 36 in the same arm as HIVIS DNA. Participants who have been randomized to receive HIVIS DNA and MVA-CMDR alone (ARM 1) will be administered Cervarix after week 72, the last study follow-up visit, if required.

    Biological: HIVIS DNA/MVA-CMDR

  • Experimental
    Arm 2 (n=10): HIVIS DNA + Cervarix/ / MVA-CMDR

    Arm 2 (n=10) will receive 0.5 ml of Cervarix IM by needle injection followed by 1500 micrograms (0.5ml) per injection of HIVIS DNA IM by a needle-free injection device in the skin above (proximal to) the Cervarix injection (within 1.5 cm). They will receive 1 X 108 IU/mL (1ml) MVA-CMDR IM by needle injection at weeks 24 and 36 in the same arm as HIVIS DNA. They will also receive 0.5 ml Cervarix at the time of the first MVACMDR injection in the opposite arm from the MVA injection at week 24.

    Biological: HIVIS DNA + Cervarix and MVA-CMDR

  • Experimental
    Arm 3 (n=5): Cervarix

    Arm 3 (n=5) will receive 0.5 ml of Cervarix by IM needle injection at weeks 0, 4 and 24.

    Biological: Cervarix

Interventions

  • BiologicalHIVIS DNA/MVA-CMDR

    HIVIS DNA IM by needle-free injection at weeks 0 and 4 followed by intramuscular (IM) needle injection of 1 X 108 IU/mL (1ml) MVA-CMDR at weeks 24 and 36 in the same arm as HIVIS DNA.

  • BiologicalHIVIS DNA + Cervarix and MVA-CMDR

    Cervarix IM by needle injection followed by 1500 micrograms (0.5ml) per injection of HIVIS DNA IM by a needle-free injection device in the skin above (proximal to) the Cervarix injection (within 1.5 cm). They will receive 1 X 108 IU/mL (1ml) MVA-CMDR IM by needle injection at weeks 24 and 36 in the same arm as HIVIS DNA. They will also receive 0.5 ml Cervarix at the time of the first MVACMDR injection in the opposite arm from the MVA injection at week 24.

  • BiologicalCervarix

    Cervarix by IM needle injection at weeks 0, 4 and 24.

06

What researchers measure

Primary outcomes

  1. Solicited and unsolicited serious adverse events

    Safety

    Time frame: through study completion, an average of 1 year

  2. Frequencies of CD4+ T cells that produce Tat/Rev transcription (tat/rev RNA+ cells/106 CD4+ T cells)

    Efficacy

    Time frame: Change from Baseline at week 24, 36, 48, 60, 72

  3. HIV DNA (copies/106 CD4+ T cells)

    Efficacy

    Time frame: Change from Baseline at week 28, 48

Secondary outcomes

  1. Solicited and unsolicited non-serious adverse events

    Safety

    Time frame: through study completion, an average of 1 year

  2. Unspliced and multiply-spliced RNA+ cells/1000 ng cellular RNA

    Efficacy

    Time frame: Week 24, 36, 48, 60, 72

  3. IUPM from total CD4+ T cells in blood by QVOA

    Efficacy

    Time frame: Week 24, 36, 48, 60, 72

  4. Plasma HIV RNA by SCA

    Efficacy

    Time frame: Week 24, 36, 48, 60, 72

  5. HIV-specific CD8+ and CD4+ T cells

    Immunogicity

    Time frame: Week 28, 48

  6. ADCC

    Immunogicity

    Time frame: Week 28, 48

  7. Binding and neutralizing Ab

    Immunogicity

    Time frame: Week 28, 48

  8. Global gene expression on PBMCs by RNA seq

    immune response

    Time frame: Week 28, 48

  9. Gene expression on HIV-specific CD8+ and CD4+ T cells

    immune response

    Time frame: Week 28, 48

07

Study locations

1 site
  • Stellenbosch University
    Tygerberg Hills, Cape Town 7505, South Africa
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 11, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04301154
Lead sponsor
Henry M. Jackson Foundation for the Advancement of Military Medicine
Collaborators
Bambino Gesù Hospital and Research Institute, PENTA Foundation, Johns Hopkins University, University of Miami, Leidos Biomedical Research, Inc., Case Western Reserve University, Karolinska Institutet, Walter Reed Army Institute of Research (WRAIR), Armed Forces Research Institute of Medical Sciences, Thailand, University of Padova, Chulalongkorn University
Responsible party
Sponsor
First posted
Mar 10, 2020
Start date
Feb 18, 2022
Primary completion
Oct 16, 2023
Completion
Oct 16, 2023
Last update
Aug 11, 2025

Study contacts

Merlin Robb, MD
study chair · Henry M. Jackson Foundation for the Advancement of Military Medicine

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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